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Egoscue and Core Stabilization for Chronic Low Back Pain

14 juillet 2026 mis à jour par: University of Lahore

Egoscue Based Postural Correction Combined With Core Stabilization Exercises in Patients With Chronic Low Back Pain

Chronic low back pain is a widespread musculoskeletal condition that limits mobility and affects quality of life. It is often caused due to the poor posture, hyperlordosis and weak core muscles. This randomized clinical trial aims to evaluate the effectiveness of egoscue based postural correction combined with core stabilization exercises compared to core stabilization exercises alone in managing chronic low back pain. The primary outcomes measures includes numeric pain rating scale (NPRS), disability (Oswestry Disability Index), while secondary outcomes includes range of motion (Inclinometer), and posture (flexicurve Ruler).

Aperçu de l'étude

Statut

Inscription sur invitation

Les conditions

Intervention / Traitement

Description détaillée

Chronic low back pain (CLBP) is a highly prevalent musculoskeletal condition characterized by pain and discomfort in the lumbar region. It significantly affects functional activities, posture, mobility, and quality of life. Persistent low back pain may lead to muscle weakness, reduced spinal stability, limited range of motion, and increased disability in daily activities. Poor posture, especially lumbar hyperlordosis, is considered one of the contributing biomechanical factors associated with chronic low back pain. Core stabilization exercises are widely used in physiotherapy rehabilitation for chronic low back pain. Improvement in core muscle activation helps enhance spinal stability, reduce mechanical stress on the lumbar spine, improve functional performance, and decrease pain intensity.

Egoscue-based postural correction exercises are designed to improve body alignment, muscle balance, and postural symmetry through a sequence of therapeutic exercises. These exercises focus on correcting abnormal posture, restoring muscular balance, and improving movement patterns.

Although both core stabilization exercises and Egoscue-based postural correction exercises have individually shown beneficial effects in musculoskeletal rehabilitation, there is limited evidence regarding their combined effectiveness in patients with chronic low back pain associated with lumbar hyperlordosis.

Therefore, this randomized clinical trial aims to compare Egoscue-based postural correction combined with core stabilization exercises versus core stabilization exercises alone in patients with chronic low back pain.

Pain intensity will be measured using the numeric pain rating scale (NPRS), and functional disability Urdu Version of the Oswestry Disability Index (ODI). Secondary outcomes will include lumbar range of motion measured by inclinometer and posture/lumbar lordosis assessed by the Flexicurve ruler. The findings of this study may provide evidence regarding the effectiveness of combining Egoscue-based postural correction with core stabilization exercises for improving pain, disability, posture, and spinal mobility in patients with chronic low back pain.

Type d'étude

Interventionnel

Inscription (Estimé)

64

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54782
        • The University of Lahore Teaching Hospital

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte

Accepte les volontaires sains

Non

La description

Inclusion Criteria:

  • Patients aged 25-55 years , both genders
  • Pain 4-7/10 (NPRS)
  • Patients with chronic low back pain
  • Hyperlumbar lordosis

Exclusion Criteria:

  • Patients with lumbar radiculopathy
  • Patients taking painkiller medications, patients with other spinal pathologies
  • Patients with neurological conditions (e.g., stroke, multiple sclerosis), patients with any cardiac or psychological disorders

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Seul

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Egoscue Exercises Combined with Core Stabilization Exercises
These patients will receive Egoscue-based postural correction exercises combined with core stabilization exercises alongside physiotherapy care for the management of chronic low back pain.
Autre: Core stabilization exercises
  • Physiotherapy care: 10 minutes of hot pack therapy combined with TENS (Transcutaneous Electrical Nerve Stimulation) for pain relief, reduction of muscle spasm, and muscle relaxation before exercise intervention.
  • Core stabilization exercises:15 minutes core stabilization exercises including Crook Lying Position(20sec),Crook Lying with One Leg Extended,Quadruped with Neutral Head(3X5reps),Plank Position(10sec),prone lying arm at side(15sec),Sitting Erect on Chair,trunk muscle activation,and postural control.
  • Treatment schedule: Total treatment session will consist of 45 minutes including 10 minutes of hot pack with TENS and 35 minutes of core stabilization exercises. Treatment will be provided 3 sessions per week for 8 weeks.
Autre: Egoscue exercises
  • Physiotherapy care:10 minutes hot pack therapy combined with TENS for pain relief, reduce muscle spasm,and muscle relaxation before exercise
  • Egoscue exercises:20 minutes Egoscue-based postural correction exercises including Static Back Exercise,Static Back with Breathing,Abdominal Contraction,Abductor Press(3sets 5reps)hold10sec,Overhead Extension,Elbow Curls on Wall,Static Wall, Upper Spinal Twist,Pelvic Tilts,Supine Groin Progression,Air Bench.(3sets 5reps)
  • Core stabilization exercises:15 minutes core stabilization exercises including Crook Lying Position(20sec),Crook Lying with One Leg Extended,Quadruped with Neutral Head(3X5reps),Plank Position(10sec),prone lying arm at side(15sec),Sitting Erect on Chair,trunk muscle activation,and postural control.
  • Treatment schedule:Session will consist 45 minutes including 10 minutes hot pack with TENS,20 minutes Egoscue exercises, and 15 minutes core stabilization exercises.Treatment will be provided 3 sessions per week for 8 weeks
Comparateur actif: Core Stabilization Exercises
These patients will receive core stabilization exercises alongside physiotherapy care for the management of chronic low back pain with hyperlumbar lordosis.
Autre: Core stabilization exercises
  • Physiotherapy care: 10 minutes of hot pack therapy combined with TENS (Transcutaneous Electrical Nerve Stimulation) for pain relief, reduction of muscle spasm, and muscle relaxation before exercise intervention.
  • Core stabilization exercises:15 minutes core stabilization exercises including Crook Lying Position(20sec),Crook Lying with One Leg Extended,Quadruped with Neutral Head(3X5reps),Plank Position(10sec),prone lying arm at side(15sec),Sitting Erect on Chair,trunk muscle activation,and postural control.
  • Treatment schedule: Total treatment session will consist of 45 minutes including 10 minutes of hot pack with TENS and 35 minutes of core stabilization exercises. Treatment will be provided 3 sessions per week for 8 weeks.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Pain Intensity
Délai: Baseline, 4th week and at 8 weeks of intervention
Pain intensity will be assessed using the Numeric Pain Rating Scale (NPRS), an 11-point self-reported pain scale ranging from 0 to 10, where 0 = no pain and 10 = worst pain imaginable. Higher scores indicate greater pain intensity (worse outcome)
Baseline, 4th week and at 8 weeks of intervention

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Lumbar Range of Motion (ROM)
Délai: Baseline, 4th week and at 8 weeks of intervention
Lumbar spine range of motion measured using an Inclinometer, a reliable tool for assessing joint angle movement.
Baseline, 4th week and at 8 weeks of intervention
Postural Alignment
Délai: Baseline, 4 weeks and at 8th week of intervention
Lumbar lordosis and postural changes assessed using a Flexicurve Ruler, which measures spinal curvature by tracing the contour of the lumbar spine
Baseline, 4 weeks and at 8th week of intervention
Functional Disability
Délai: Baseline, 4th week and at 8 weeks of intervention
Functional disability will be assessed using the Urdu version of the Oswestry Disability Index (ODI). The ODI consists of 10 items, each scored from 0 to 5, with a total score ranging from 0 to 50, which is commonly expressed as a percentage (0% to 100%). Higher scores indicate greater disability and poorer functional status (worse outcome)
Baseline, 4th week and at 8 weeks of intervention

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

University of Lahore

Les enquêteurs

  • Chaise d'étude: Sahreen Anwar, PhD, University of Lahore

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

15 novembre 2025

Achèvement primaire (Estimé)

15 août 2026

Achèvement de l'étude (Estimé)

15 septembre 2026

Dates d'inscription aux études

Première soumission

28 juin 2026

Première soumission répondant aux critères de contrôle qualité

28 juin 2026

Première publication (Réel)

6 juillet 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

16 juillet 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

14 juillet 2026

Dernière vérification

1 septembre 2025

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • UOL/IREB/25/12/0038

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

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